Manager, National Risk & Quality Solutions

📋 Description

• Lead and manage the Quality Systems team, establishing expectations, monitoring performance
• Oversee quality-system performance initiatives and ensure team activities remain aligned with
• Support annual quality-data submission activities, including NCQA and state regulatory submissions.
• Design and implement data-focused strategies that improve the completeness, accuracy, and
• Partner with quality leaders and health plans to develop meaningful reporting and analytics
• Oversee quality project plans, schedules, resource allocation, deliverables, and regulatory

🎯 Requirements

• At least 7 years of program or project management in healthcare quality, including experience
• At least 1 year of management or leadership experience.
• Comprehensive understanding of managed healthcare value drivers, quality programs, and the broader
• Extensive knowledge of healthcare claims and coding elements, включая CPT, CPT Category II, LOINC
• Experience running queries using Microsoft asure and/or SQL Server, with strong data-analysis
• Strong quantitative aptitude, critical-thinking, analytical, problem-solving, organizational, and

🎁 Benefits

• Full-time, fully remote position within the United States.
• Annual salary range of $79,607.91–$172,483.80, with actual compensation determined by factors such
• Competitive benefits and compensation package.
• Opportunity to lead a specialized team and influence enterprise-wide health quality initiatives.
• Exposure to healthcare analytics, regulatory reporting, quality improvement, and data strategy at
• Opportunities for professional development, team leadership, and cross-collaborative growth.